Target intelligence / Profile preview

Class D β-lactamase (also known as oxacillinase) (OXA)

Target
OXA
Molecular classification
Enzyme — specifically a serine hydrolase, Serine β-lactamase (molecular class D), Functional group 2d (in the functional classification system)
01

Overview

Class D β-lactamases (oxacillinases) are serine hydrolases that confer bacterial antibiotic resistance by breaking down β-lactam antibiotics, including penicillins, cephalosporins, and carbapenems.[1][3] These enzymes belong to a distinct subset of the β-lactamase superfamily and operate through a sophisticated serine-dependent catalytic mechanism involving a carbamylated lysine residue that facilitates hydrolysis of the characteristic β-lactam ring found in these antibiotics.[1][4] Originally recognized for their ability to hydrolyze oxacillin and related compounds, Class D β-lactamases are now a major clinical concern due to the emergence of OXA carbapenemases, which can degrade last-resort carbapenem antibiotics in Acinetobacter baumannii and other gram-negative pathogens.[3][4] These enzymes represent a significant therapeutic challenge because their rapid hydrolysis of antibiotic substrates, combined with secondary resistance mechanisms and the ability to spread via plasmids across bacterial species, makes infections difficult to treat.[2][3] Efforts to develop new antibiotics and β-lactamase inhibitors target Class D enzymes as a key strategy to combat rising antibiotic resistance.

Other names
OxacillinaseOXA enzymeClass D serine β-lactamaseSerine oxacillinase
02

Mechanism of action

The enzyme operates through a serine-dependent catalytic mechanism involving four key steps: 1. Nucleophilic activation — Carbamylated lysine (Kcx70) deprotonates serine 67, enabling it to attack the carbonyl group of the β-lactam ring and form a tetrahedral intermediate 2. Intermediate collapse — The tetrahedral intermediate collapses, cleaving the C-N bond through a proton relay cascade 3. Water-mediated hydrolysis — The carbamylated lysine deprotonates water, which attacks the covalently attached intermediate in a nucleophilic addition 4. Enzyme regeneration — The tetrahedral intermediate collapses, eliminating serine 67 and releasing the hydrolyzed product while regenerating the catalytically active enzyme This mechanism results in rapid hydrolysis of the acyl-enzyme intermediate, preventing the enzyme from becoming inhibited by β-lactams in the same way as penicillin-binding proteins.[1]

03

Biological functions

β-lactam hydrolysis — breaks down β-lactam antibiotics by opening the four-atom β-lactam ring through hydrolysis, inactivating the antibiotic's antibacterial propertiesAntibiotic resistance — confers bacterial resistance to β-lactam antibiotic therapies by hydrolyzing oxacillin, cloxacillin, and related anti-staphylococcal penicillinsBacterial cell wall protection — prevents β-lactam antibiotics from inhibiting DD-peptidases involved in bacterial cell wall synthesis
04

Disease associations

Infection — Class D β-lactamases are a major source of bacterial resistance to β-lactam antibiotic therapies, complicating treatment of bacterial infections
05

Safety considerations

Emerging carbapenem resistance — OXA carbapenemases hydrolyze carbapenems (last-resort antibiotics) very slowly in vitro, yet clinical isolates may show high resistance due to secondary mechanisms like impermeability or efflux, creating therapeutic challengesPlasmid-mediated spread — The OXA group has moved to plasmids on multiple occasions, facilitating rapid horizontal transfer of resistance genes across bacterial speciesReduced inhibitor susceptibility — Some OXA variants show reduced susceptibility to standard β-lactamase inhibitors like clavulanic acidMulti-species prevalence — OXA β-lactamases occur mainly in Acinetobacter species but have spread across α-, β-, and γ-proteobacteria, complicating infection control
06

Interacting drugs

β-lactam antibiotics (substrates): Oxacillin

6 more in the full profile.

07

Biomarkers

MIC (Minimum Inhibitory Concentration) — Used to measure antibiotic susceptibility; OXA carbapenemases show high MICs (>64 mg/L) in some Acinetobacter hostsOXA enzyme variants — Specific OXA subgroups (e.g., OXA carbapenemases vs. oxacillin-hydrolyzing variants) serve as markers for resistance profiles

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